Oklahoma Residency Questionaire
by Stan Paregien, Sr.
Copyright 1997
by Stan Paregien, Sr.
Copyright 1997
1. Your first name is (check one):
__Bubba __Earl __Bocephus __Homer __J.R. __Junior __Bubba Jean __Earldene __Bobbie Jo __Jimmie Sue
2. Your sex: __Male __Female __Uncertain
3. Your pa's name(if unknown, list two suspects):_____________________________
4. Your spouse's relationship to you: __sister or brother __first cousin __step-parent
5. Your pickup make:_________Year: __1963 __1971 __1980
a. Number of Red Man Chewing Tobacco tins on floorboard:___
b. Number of Lone Star beer cans in pickup bed:__
c. Equipment on pickup:__ Spitoon __Mud Flap __Camper Shell __Gun rack
d. Bumper sticker messages: __Mary Kay Dealer __Get Off My Butt __Eat at Road Kill Cafe __Atilla the Hun Was a Wimp __Jimmy Hoffa Lives!
8. Your favorite recreation: __Watchin'Wrasslin' on TV __Skinny Dippin' __Arguin' Politics __Coon Huntin' __Gospel Sangin' __Playin' Dominos
9. Your favorite food item: __Spam __Beer pretzels __Poke greens __Refried beans
10. Your favorite entertainer: __Charlie Pride __Merle Haggard __Freddie Fender __Tammy Wynette __Lawrence Welk __Alvin & the Chipmunks
11. Your professional or civic memberships: __700 Club __NRA __Mickey Mouse Club
__ Rush Limbaugh Fan Club
12. Number of cars on blocks in front yard?___ In backyard? ___
13. Your favorite clothing item: __T-shirt __Sweat pants __Farm Co-op cap
14. What medications are you on at this time(check all that apply):
__Colonel Jack's Elixir __Prozac __Preparation H __X-lax __Rolaids
15. Your prominent physical characteristics:
__Body odor __No teeth __Head lice __Sexually transmitted disease(s)
16. Regarding your mobile home(check all that apply):
a. __Renting from brother-in-law
b. __Making payments to Loan Co.
c. __Ten or more used tires on roof
d. __Wood burning stove
e. How far is your mobile home from a paved highway?
__miles __Never seen a paved highway
17. Questions regarding people who live with you in your mobile home:
a. Number of children ?____ Of that number, how many are yours?____
b. Number of adults?____ Of that number, how many can you call by name?____
c. How many of these have actually sighted Elvis shopping at Wal-Mart?_______
18. Your favorite drink is: __Iced tea __Moonshine __Lone Star Beer __Get Slim
19. Number of weapons in your home:__Sawed-off Shotguns __Hay hooks __Axe handles
20. Income as stated on last year's IRS form?_________ Actual income?______________
Signature of resident(X):__ (If resident can actually sign name, use additional sheet)
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